Provider Demographics
NPI:1457703233
Name:GILLES MARTIAL TCHUENTE
Entity Type:Organization
Organization Name:GILLES MARTIAL TCHUENTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HHA
Authorized Official - Prefix:
Authorized Official - First Name:GILLES MARTIAL
Authorized Official - Middle Name:
Authorized Official - Last Name:TCHUENTE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-713-7750
Mailing Address - Street 1:6209 ERLAND WAY
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2481
Mailing Address - Country:US
Mailing Address - Phone:240-713-7750
Mailing Address - Fax:
Practice Address - Street 1:6209 ERLAND WAY
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2481
Practice Address - Country:US
Practice Address - Phone:240-713-7750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-06
Last Update Date:2016-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCHH12194251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health